| Marta N Matos Psyd Pa | |
|
8525 Sw 92nd St #b-8 Miami FL 33156-7365 | |
| (305) 598-8879 | |
| (305) 598-0220 |
| Full Name | Marta N Matos Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 8525 Sw 92nd St, Miami, Florida |
| Authorized Official Name and Position | Marta Nilda Matos (OWNER) |
| Authorized Official Contact | 3055988879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta N Matos Psyd Pa 8525 Sw 92nd St #b-8 Miami FL 33156-7365 Ph: (305) 598-8879 | Marta N Matos Psyd Pa 8525 Sw 92nd St #b-8 Miami FL 33156-7365 Ph: (305) 598-8879 |
| NPI Number | 1679561146 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577735190 |
|---|---|
| Medicare Enrollment ID | O20111004000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679561146 | NPI | - | NPPES |
| 54756 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6307 (Florida) | Primary |
| Provider Name | Marta N Matos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699954669 PECOS PAC ID: 3375715998 Enrollment ID: I20111004000273 |
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